| |
8888 Sw 136th St Ste 140, Miami, FL 33176-5870 | |
(787) 672-4833 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Eyewear Supplier |
Location | 8888 Sw 136th St Ste 140, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942919386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Provider Name | Sheryl Reaves |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1023301280 PECOS PAC ID: 7315194826 Enrollment ID: I20150213000305 |
Provider Name | Nicholas Barlas |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1346919743 PECOS PAC ID: 3779953187 Enrollment ID: I20230530002887 |
Mailing Address | Practice Location Address |
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385 Calle San Claudio, San Juan, PR 00926-4251 Ph: (787) 672-4833 | 8888 Sw 136th St Ste 140, Miami, FL 33176-5870 Ph: (787) 672-4833 |